Individual
EMMANUEL MERVILUS
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Contact information
Practice address
127 PINE ST, MONTCLAIR, NJ 07042-4855
(973) 746-2400
Mailing address
127 PINE ST, MONTCLAIR, NJ 07042-4855
(973) 746-2400
Taxonomy
Speciality
Code
Description
License number
State
104100000X
Social Worker
Primary
—
—
Other
Enumeration date
01/07/2025
Last updated
01/07/2025
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